Randomisation Bias and Post-Randomisation Selection Bias in RCTs:
Study Retention as Bias Reduction in a Hard-to-Reach Population · Study Retention as Bias...
Transcript of Study Retention as Bias Reduction in a Hard-to-Reach Population · Study Retention as Bias...
Study Retention as Bias Reduction in a
Hard-to-Reach Population
Bruce Western∗
Anthony A. Braga
David M. Hureau
Catherine Sirois
August 2015
∗Department of Sociology, 33 Kirkland Street, Cambridge MA 02138. E-mail: [email protected]. This research was supported by grant5R21HD073761-02 from NIH/NICHD, SES-1259013 from the National ScienceFoundation, a grant from the Russell Sage Foundation, and the Radcliffe Institutefor Advanced Study at Harvard University. We gratefully acknowledge the sig-nificant assistance of the Massachusetts Department of Correction who providedaccess to correctional facilities and advice and collaboration throughout the re-search. The data for this paper are from the Boston Reentry Study, a researchproject conducted by Bruce Western, Anthony Braga and Rhiana Kohl.
Abstract
Collecting data from hard-to-reach populations is a key challenge for re-search on poverty and other forms of extreme disadvantage. Even amongthe disadvantaged, men and women recently released from prison experi-ence relatively severe hardship that is closely associated with diminishedstudy participation. With data from the Boston Reentry Study (BRS), wedocument the extreme marginality of released prisoners and the challengesfor study retention and analysis. The BRS design and data yield threefindings. First, released prisoners show high levels of “contact insecurity,”correlated with social insecurity, in which residential addresses and con-tact information change frequently. Second, strategies for data collectionare available to sustain very high rates of study participation. Third, sur-vey nonresponse in highly marginal populations is strongly nonignorable,closely related to social and economic vulnerability. The BRS response rateof 94 percent over a one-year follow-up period allows analysis of hypothet-ically high nonresponse rates comparable to those in earlier studies. Highrates of nonresponse attenuate regression estimates in analyses of hous-ing insecurity, drug use, and re-incarceration. The analysis underlines theutility of small specialized data collections for highly disadvantaged popu-lations.
Extreme social and economic disadvantage poses a fundamental method-
ological challenge for sociological research. Deeply disadvantaged pop-
ulations are under-enumerated and at high risk of survey nonresponse
(Hunter, de la Puente, and Salo 2003; de la Puente 2004; Martinez-Ebers
1997). Thus studies of homelessness, severe poverty, and drug addiction,
for example, have developed special methods for data collection to include
those living outside of conventional households and to maximize study re-
tention (Desmond et al. 1995, Cottler et al. 1996, Faugier and Sargeant
1997).
Under current conditions of historically high incarceration rates, peo-
ple moving through America’s prisons and jails have become an impor-
tant population for research and policy (Travis et al. 2014). The formerly-
incarcerated often present a range of co-occurring disadvantages and vul-
nerabilities that are of key sociological interest, but that also make them
difficult to contact or unwilling to participate in research studies. As a
result, follow-up studies of the formerly-incarcerated have suffered from
high rates of attrition that are likely correlated with outcomes of key inter-
est. Becky Pettit (2012) called the incarcerated population “invisible men”
because of their under-enumeration in social survey estimates of socioeco-
nomic well-being. Because of their deep marginality in social and economic
life, this invisibility in social science data collection also extends to those
who have moved from incarceration to communities.
Recent longitudinal studies of the formerly-incarcerated suffered from
30 to 60 percent attrition over a one to two year follow-up period (e.g.,
Nelson et al. 1999, Visher et al. 2004). In contrast, the Boston Reentry
Study (BRS) followed Massachusetts state prisoners through the first year
of prison release and achieved a retention rate of 91 percent. This paper
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uses data from the BRS to explore three main challenges for longitudinal
data collection among the formerly-incarcerated.
First, we document extreme social insecurity in the BRS sample that
is closely associated with a high level of contact insecurity—the frequent
changing of residential addresses and phone numbers that makes nonre-
sponse more likely. Second, we describe a variety of strategies for data
collection that yield a high rate of study participation. Third, we show that
the risk of survey nonresponse is associated with deep social disadvantage
including histories of addiction and mental illness. In this setting, non-
response contributes to a loss of statistical precision in data analysis, and
nonresponse is nonignorable, biasing estimates of risk and vulnerability in
the population. Exploiting the high rate of study participation in the BRS,
we explore the sensitivity of sample quantities to survey nonresponse pro-
viding evidence of selection bias in analyses of housing insecurity, drug use,
and re-incarceration.
Our analysis focuses on the formerly incarcerated but the methods and
findings reported here are generally relevant to the study of other hard-to-
reach populations that are unstably housed, difficult to contact, or other-
wise weakly attached to conventional households. Although large house-
hold surveys have been central to the study of poverty and related topics,
our results suggest the utility of specialized, and often small-scale, data
collections and methods for highly marginal populations that fall outside
of the scope of conventional survey methods. We discuss the implications
of these designs for research on extreme poverty and other severe disad-
vantage below.
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1 RELEASED PRISONERS AS A HARD-TO-REACH POPULATION
Hard-to-reach populations present a variety of challenges for data collec-
tion. Marginalized groups, such as the homeless, drug users, or sex work-
ers, are significantly under-represented in conventional household surveys.
Researchers have developed special methods for recruitment and analysis
involving, for example, snowball and respondent-driven sampling (Faugier
and Sargeant 1997; Salganick and Heckathorn 2004). Even where vulner-
able populations can be sampled, attrition and other survey nonresponse
pose serious threats in follow-up studies (Farrington et al. 1990; Hough
et al. 1996). Researchers report low rates of follow-up among drug users
(Desmond et al. 1995; Cottler et al. 1996; Messiah et al. 2003), low-income
minority parents (Martinez-Ebers 1997; Teitler et al. 2003), women at risk
of HIV infection (Brown-Peterside et al. 2001), the homeless mentally ill
(Hough et al. 1996), and youth engaged in crime and delinquency (Farring-
ton et al. 1990; Cotter et al. 2002). In research on the homeless mentally
ill, for instance, study recruitment rates are often quite high—from 80 to
90 percent of targeted individuals—but retention rates can be significantly
lower, from 30 to 80 percent over six months to two years of follow up
(Hough et al. 1996).
Among vulnerable populations, prison releasees are unusually disad-
vantaged often contending with multiple risks and adversities. Besides
their involvement in serious crime, people who serve time in prison suf-
fer from high rates of mental illness and drug addiction. After prison re-
lease, the formerly incarcerated are often homeless or insecurely housed
(Metraux, Roman, and Cho 2007; Travis 2005) and they are more likely to
reside in group quarters—in shelters or other transitional housing—rather
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than in conventional households (Sirois 2015). Those with outstanding
warrants may be on the run, evading both researchers and police. Employ-
ment is also unstable and frequently undocumented, and social programs
are under-used. The formerly-incarcerated are thus weakly connected to
mainstream social institutions and as a result they are often inaccessible to
standard data collections using surveys or administrative records (Kornfeld
and Bloom 1999; Harding et al. 2014).
High rates of nonresponse reduce the precision of estimates and may be
a source of bias. With the small sample sizes typical of the specialized data
collections for hard-to-reach populations, even low rates of nonresponse
yield a large increase in sampling variance. Where survey nonresponse is
related to the values of variables of key interest, nonresponse is called non-
ignorable and can be a source of selection bias (Little and Rubin 1987, 15).
Say drug users are difficult to contact for interviews and substantive inter-
est focuses on drug use after incarceration for respondents with a history of
addiction. More formally, for respondent i at wave t , drug use measured by
yi t can be written as a function of xi , a dummy variable indicating drug ad-
diction that is measured at baseline and is completely observed. Addiction
may also be a risk factor for nonresponse.
The regression of interest is,
yi t =β0 +β1xi +ei t . (1)
where ei t is a random error. To see the effects of nonresponse we write a
response indicator, Ri t , that equals 1 if a survey is completed and 0 in the
case of nonresponse. A sample selection model writes
Ri t = 1 if ηi t ≥ 0
0 if ηi t < 0
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where ηi t describes the respondent’s propensity to be observed,
ηi t = δ0 +δ1xi +δ2zi +ui t , (2)
zi is another completely-observed covariate predicting nonresponse, and
ui t is a random error. The dependence of nonresponse on the level of
drug use yi t is usually modeled by allowing the errors ei t and ui t to be
correlated. Note that equation (1) cannot be fit directly because yi t is un-
observed when Ri t = 0. Analyzing just the observed data, the conditional
expectation of the dependent variable depends on covariates and an ad-
justment factor reflecting the predicted probability of being observed,
E(yi t |xi , zi ,Ri t = 1) =β0 +β1xi +h(δ0 +δ1xi +δ2zi ), (3)
where h is a function whose form depends on assumptions about the bi-
variate distribution of ei t and ui t . The adjustment factor, h, in equation (3)
is common to models for sample selection bias (e.g., Fitzgerald et al. 1998;
Heckman 1979).
In the naive regression of the observed values of drug use on addiction—
a regression of yi t on xi —bias results from the correlation between the co-
variate, xi , and the residual which includes the omitted term, h. Below,
we assess the magnitude of selection bias in a (near) completely observed
data set reporting estimates that exclude observations that are at high risk
of nonresponse. The key intuition is that if drug users with a history of
addiction are difficult to contact for interviews, the true level of drug use
among drug addicts will be understated by the observed data and the re-
gression coefficients will be under-estimated. The attenuation of regres-
sion relationships is a common product of nonrandom sample selection on
dependent variables, though different patterns of nonresponse might also
cause regression coefficients to be over-estimated.
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In the study of marginal populations, risks and adversities such as drug
use, criminal involvement or housing insecurity may all contribute to at-
trition from panel surveys and are also outcomes of key interest. In these
cases, nonignorable nonresponse biases sample statistics but can be diffi-
cult to diagnose in the absence of additional information such as a refresh-
ment sample or population statistics for comparison (Hirano et al. 2001).
In sum, besides the widely acknowledged problem of undercount in highly
disadvantaged populations, risk of nonresponse is likely confounded with
quantities of key interest and is a source of bias in data analysis.
2 ATTRITION AND RETENTION IN STUDIES OF RELEASED PRISONERS
Table 1 lists nine studies since 1999 that have collected data from samples
of newly-released prison and jail inmates. Most of these so-called reentry
studies have sampled prison releasees and follow-up periods have generally
extended from a month to two years. Most studies sampled from cities, al-
though the large-scale Serious and Violent Offender Reentry Initiative con-
ducted interviews in 14 states. Sample sizes in reentry studies are typically
relatively small, in the hundreds. The challenges of study participation are
reflected in the retention rates at exit interviews. In the earliest study, the
Vera Institute’s First Month Out, only around half of a sample of prison and
jail inmates released in New York City were re-interviewed after 30 days.
Most reentry studies record retention rates between 50 and 70 percent.
The Michigan Reentry Study provides an important exception, retaining 86
percent of a small sample of parolees over a two-year follow-up period.
The final study in Table 1, the Boston Reentry Study, forms the focus
of this paper. Following a sample of Massachusetts state prisoners over a
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Table 1. Retention rates of longitudinal studies of released prisoners.
Sample Follow-Up Retained atYear(s) Site Size (months) Exit (%)
1. First Month Out 1999 New York 88 1 56.02. RH Maryland 2001–03 Baltimore 324 6 32.13. RH Illinois 2002–03 Chicago 400 16 49.54. RH Ohio 2002–03 Cleveland 424 12 69.05. RH Texas 2004–05 Houston 676 8–10 55.96. SVORI 2004–07 14 states 2391 15 68.57. Michigan Reentry 2007–09 SE Michigan 22 24 86.48. Smartphone Project 2012–13 Newark 152 3 70.09. Boston Reentry Study 2012–14 Boston 122 12 91.0
Note: RH=Returning Home; SVORI=Serious and Violent Offender Reentry Ini-tiative. References are as follows: (1) Nelson et al. (1999), (2) Visher etal. (2004), (3) Kachnowski (2005), (4) Visher and Courtney (2007), (5) LaVi-gne et al. (2009), (6) Lattimore and Steffey (2009), (7) Harding et al. (2014), (8)Sugie (2014). First Month Out interviewed prison and jail releasees. ReturningHome and the Michigan Reentry Study interviewed former prisoners. SVORI in-terviewed former adult prisoners and juveniles. The Newark Smartphone Projectinterviewed parolees.
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Table 2. Study participation across five waves of the Boston Reentry Study.
MedianDays from IQR of
Number of Response Respondents Release to Days toInterviews Rate (%) Attritted (N) Interview Interview
Baseline 122 100.0 − −8 111 week 117 95.9 0 7 32 month 113 92.6 2 64 86 month 113 92.6 4 186 1712 month 111 91.0 5 373 29Total (N) 576 94.4 11 − −
Note: Survey nonresponse includes all those who could not be contacted or sched-uled for a follow-up interview plus those unreachable through incarceration orhospitalization as a percentage of those eligible to be interviewed. Attrition ina given wave is defined as missing the current interview and all subsequent in-terviews. The two-month interview count includes one respondent who was ad-ministered a re-incarceration interview in prison. The six-month interview countincludes six respondents who were given re-incarceration interviews in prison.
year after prison release, the BRS achieved a retention rate of 91 percent.
The study consisted of a baseline interview one week before prison release,
a follow-up interview one week after release, then further interviews at
two months, six months, and twelve months after release. With a baseline
sample size of N = 122, and 5 scheduled interviews for each respondent,
the initial design included 610 interviews. A total of 576 interviews were
completed yielding an overall response rate of 94.4 percent over a year of
follow-up.
Table 2 provides more detail about the pattern of nonresponse in the
BRS. Nonresponse increased over time as 5 out of 122 respondents were
missed at the first follow-up survey and 11 respondents were missed at the
12-month exit interview. Only a minority of nonrespondents were drop-
outs in the sense of being permanently lost to follow up. Although the
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study sustained a high response rate, data on the days to interview sug-
gest the increasing difficulty of completing interviews. The median days
to interview shows that half the sample were interviewed on the sched-
uled follow-up day or earlier. Latecomers, at the 75th percentile of the
days-to-interview distribution, got progressively later even though nonre-
sponse did not markedly increase after the two month follow-up. The full
distribution of the days to interview for each survey wave is shown in Fig-
ure 1. By the 12-month interview, a quarter of the sample were interviewed
at least a month later, and 10 percent of the sample were interviewed at
least ten weeks late. Groves and Couper (1998) distinguish between non-
respondents and “reluctant respondents” who are either difficult to contact
or hesitant to consent to an interview. We can think of the latecomers, in
the final quartile of the time-to-interview distribution, as reluctant respon-
dents who are at risk of nonresponse without additional efforts at study
retention. Latecomers and nonrespondents consist mostly of those who
were who were just intermittently missing or late for 1 or 2 waves (85 per-
cent) and a smaller number who were persistently late or missing in at least
3 of the 4 waves (15 percent).
3 STUDY RETENTION IN A COHORT OF PRISON RELEASEES
The BRS was designed to collect data intensively in the early stages of
prison release. Respondents were recruited to the study with an informa-
tion sheet distributed by prison staff to prisoners who were approaching
release and planned to live in Boston. Respondents who were interested to
participate were scheduled for an interview about a week before release.
There appears to be little nonrandom selection on observable characteris-
9
0 100 200 300 400 500 600
0.00
0.05
0.10
0.15
0.20
0.25
Days from Prison Release
Den
sity
1 week
2 month
6 month
12 month
Figure 1. Density plot showing time to interview from prison release. Interviewswere scheduled for one week, two months, 6 months and 12 months after prisonrelease, Boston Reentry Study (N = 122).
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tics into the study sample. The offense profile, criminal history, level of risk
and demographic characteristics of the BRS sample are similar to those for
the Boston-area reentry population as a whole. After release, rates of rear-
rest and reincarceration in the BRS sample are also similar to those for the
whole Boston reentry population (Western et al. 2015). Study recruitment
varies less across respondent characteristics than across correctional facili-
ties where implementation of the research protocol varied significantly. In
some facilities, prison staff showed a keen interest in the research and were
active in their efforts to distribute information about the study. The BRS
respondents represent a one-quarter sample returning to the Boston area
from Massachusetts state prisons.
Following recruitment, the research design consisted of five face-to-face
interviews over a one-year follow up period. The baseline interview was
conducted in prison by a university researcher with a staff member from
the research unit at the Department of Correction (DOC). At the baseline
interview, contact information was obtained for the first follow-up inter-
view two weeks later in the community. All follow-up interviews were
conducted face-to-face by university research staff who worked in pairs.
If a respondent was re-incarcerated, follow-up face-to-face interviews were
conducted inside correctional facilities.
3.1 Contact Insecurity and Social Insecurity
How did the BRS sustain such a high response rate? Characteristics of the
BRS sample, as in other surveys of released prisoners, place them at high
risk of interview nonresponse (Table 3). The sample is entirely urban, liv-
ing in and around Boston, mostly male, African American and Hispanic
with very low levels of schooling. In addition, a large proportion of the
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Table 3. Means and percentage distribution for selected characteristics of BostonReentry Study respondents (N = 122).
DemographicsAverage age (years) 36.5Female 12.3Black 50.1Hispanic 18.9HS dropout 59.8
Baseline characteristicsSubstance abuse history 54.1Mental illness history 44.3Average time in prison (months) 32.4Unemployed before arrest 41.0Unstable housing before arrest 19.7
Post-release characteristicsNo probation/parole after release 38.5Incarcerated after release 22.1Unstable housing after release 62.0
respondents have histories of mental illness or heavy drug use, and had
previously lived in unstable housing, either dividing time between multi-
ple residences, living on the streets, or in shelters or other group quarters.
In contrast to most prison reentry studies, BRS respondents were not re-
cruited from probation or parole agencies and over a third of the sample
was released to the street with a completed sentence and no post-release
supervision. After release, nearly a quarter of the sample returned to in-
carceration in the one-year follow-up period and nearly two-thirds lived
in some kind of unstable housing. In short, like most newly-released pris-
oners, the BRS respondents were socially unstable and often difficult to
contact for follow-up interviews.
A direct sense of the difficulties of follow up is given in Table 4. As we
detail below, respondents’ cell phones were the main means of contact for
check-ins and scheduling interviews. At each wave of the survey, 5 to 7 per-
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Table 4. Change in phone contact, residence, or criminal justice status at 1 week,2 months, 6 months, and 12 months after prison release, Boston Reentry Study(N=122).
Release to 1 week to 2 months 6 months to1 week 2 months 6 months 12 months
No phone (excl. incarcerated) 5.0 6.7 4.5 17.3Changed phone 56.8 44.8 42.4 52.3Unstable/unknown residence 39.3 38.5 44.3 53.3Changed residence 40.2 34.7 49.1 57.9New charge/arraignment 0.0 5.7 9.8 27.9Entered prison or jail 0.8 0.8 7.4 13.9
Note: Unstable residence includes staying in multiple residences, treatment pro-grams, transitional housing, shelters, correctional facilities, and homeless or on thestreet. Data on new charges and prison or jail stays is drawn from administrativerecords and thus is complete for the whole sample.
cent of respondents did not have working phones and 40 to 50 percent of
respondents changed phones between survey waves. In addition to being
hard to reach by phone, 40 to 60 percent of respondents frequently changed
residence and around half were living in unknown or unstable residences.
Criminal justice involvement may also contribute to nonresponse for re-
spondents with outstanding warrants or who are detained while awaiting
trial. The level of criminal justice involvement increased over time. In the
final six months of the follow-up period, over a quarter of the BRS sample
were arrested on new charges and 14 percent were re-incarcerated. When
contact information—chiefly phone numbers and residential addresses—
is intermittently unavailable or changes frequently, respondents exhibit a
high level of contact insecurity that makes survey nonresponse more likely.
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3.2 Strategies for Study Retention
In this challenging setting for study retention, a variety of strategies were
adopted to reduce nonresponse. In a context of extreme contact insecu-
rity, we collected an extensive array of supplementary contact information,
maintained a high level of contact between interviews, and tried to increase
the willingness of respondents to participate. Four specific features of the
BRS research design were designed to maintain study retention:
1. Interview incentives. BRS respondents were paid $50 for each in-
terview. Incentives were previously found to increase participation among
low-income respondents and parolees (Martin et al. 2001; Harding et al. 2014).
Following Harding and his colleagues (2014), BRS respondents were paid
in cash at the conclusion of an interview (Harding et al. ). In the case of
re-incarceration, research staff deposited $50 into the respondent’s prison
commissary account. Besides the cash incentives, interviewers were trained
to present a strongly nonjudgmental posture in interactions with respon-
dents. Respondents reported that this approach contrasted with official
interactions with criminal justice authorities, and that the attitude of inter-
viewers provided an additional incentive for participation.
2. Phone check-ins and letters. Research staff also conducted regular
phone check-ins with study respondents. Between the baseline, 1-week,
2-month, and 6-month interviews, interviewers phoned respondents every
few weeks. Between the 6-month and the 12 month waves, interviewers
checked in by phone each month. Phone check-ins were used to update the
respondents’ residential information and to maintain contact and rapport.
Phone contact involved both conversations and texting. Where phone con-
tact was lost, we emailed or wrote letters to the respondents, often using
address information previously provided by family members and friends.
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A strongly nonjudgmental approach in interviews combined with frequent
phone check-ins were intended to build rapport and trust between inter-
viewers and respondents.
3. Proxy interviews and secondary contacts. Proxy interviews were con-
ducted with close family and friends who could also help us locate hard-to-
find respondents. In the Fragile Families Study of Child Well-Being, mother-
father couples were interviewed and proxy responses by mothers compen-
sated for a high rate of nonresponse among formerly-incarcerated fathers
(Lopoo and Western 2005). We elaborated this approach by obtaining at
the baseline interview a list of secondary contacts to be used to help lo-
cate respondents after prison release. The contact list was updated at each
subsequent interview. Because we expected proxy respondents to provide
useful information about the respondent’s family contacts and well-being,
we also aimed to conduct at least one substantive interview with a family
member or close friend for each focal respondent. We completed 81 proxy
interviews.
4. Justice agencies and community contacts. When conventional reten-
tion strategies were exhausted, a variety of justice agencies and community
partners helped re-establish and maintain contact with the study subjects.
The DOC provided weekly updates on the criminal justice status of all re-
spondents and monitored whether respondents returned to state custody.
For subjects under criminal justice supervision in the community, the Mas-
sachusetts probation and parole agencies—and in a few cases, the Boston
Police Department—helped locate subjects for interviews. Parolees have
been the focus of earlier reentry studies and below we study whether pa-
role/probation status is associated with study retention. For those who
were not on probation or parole supervision, we tried to reestablish contact
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through a variety of street and community workers operating in inner-city
neighborhoods where study respondents resided.
In addition to the four main strategies for study retention, survey records
were also linked to administrative records on arrests, charges, sentencing,
and incarceration. Although not a strategy for study retention, record link-
age yields a completely-observed record of criminal justice involvement for
all respondents for the entire follow-up period. Besides providing a com-
plete criminal justice history for the sample, administrative records help
us to explore nonrandom survey nonresponse. Differences in arrest or in-
carceration rates between respondents and nonrespondents may suggest
nonrandom differences for survey variables for, say, self-reported crime,
drug use, or illegal income.
3.3 Day-to-Day Operations
In the day-to-day operation of the reentry study, the retention strategies
were applied continuously and concurrently, so much of the work of the
data collection revolved around maximizing study participation. Interview
incentives were particularly important for study participation immediately
after prison release. At the first meeting in the community, respondents
received a total of $100, $50 for the baseline interview in prison and $50
for the one-week interview. One hundred dollars was a significant payment
for people with little income, particularly for one fifth of the sample who
were released from prison with less than $100. The last question for each
post-release survey asked respondents why they were participating in the
study. A quarter of the sample cited the interview payment as a strong
incentive at the one-week interview. The interview incentive appeared to
be less crucial to study retention over time. By the 12-month interview,
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about 10 percent of respondents indicated they were participating for the
money.
Interviews were conducted by a pair of researchers and one member of
the pair was charged with maintaining consistent contact with the respon-
dent for the duration of the study. Consistent contact—reinforced by a non-
judgmental approach to interviews and regular phone check-ins—fostered
trust and rapport between researchers and study participants. Reflecting
the quality of the interviewer-respondent relationship, around one-third of
the sample reported they were participating in the research because they
were committed to completing the study or because they liked the inter-
viewer. An additional 20 percent said it was helpful for them to be able
to share their experiences after incarceration. At each post-release inter-
view, nearly half of the sample reported that they hoped their participation
would ultimately help others or have an impact on criminal justice policy.
For most respondents, phone calls were our primary mode of contact.
While the majority of respondents provided the number of a family home or
program at the baseline interview, half of the sample obtained a cell phone
within seven days of release. Respondents often informed researchers of
their new number when we called to schedule the one-week interview. Af-
ter the first week out, 23 out of 122 respondents maintained the same
phone number throughout the year out of prison. These 23 respondents
with a high level of contact security completed all post-release interviews
and were less likely to be scheduled late than others in the sample.
More commonly, phone status was unstable. Respondents changed their
phone number eight times on average over the course of the study. In some
cases, people’s primary phones would not work if phone bills went unpaid
or if residential status changed, such as when they left a program or re-
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turned to prison or jail. Others obtained new phones when they started
working or changed their phone numbers every few months. Some re-
ported that regularly changing phones was a habit picked up when they
were involved in illegal activity and feared their phones were being tracked.
In addition, a number of phones went out of use when they were lost or
stolen, particularly in the chaotic environments of homeless shelters and
transitional housing. When respondents were unreachable by phone, proxy
contacts were helpful for maintaining contact. Several mothers with stable
home or cell phone numbers would provide us with updated contact infor-
mation for their sons and daughters every few months when their phones
went out of service.
In a small number of cases, phone check-ins and secondary contacts
were insufficient to maintain study participation, and criminal justice agen-
cies and community contacts also helped to follow-up with study respon-
dents. Criminal justice queries often took the form of a request to proba-
tion, parole, or the police for a phone number or address for hardest-to-
reach respondents. Respondents had earlier consented to such contact and
the queries were designed to be unobtrusive both for the agencies and the
respondents.
Community contacts were also invaluable for reaching the most elusive
respondents. In particular, streetworkers (or gang outreach workers) were
especially helpful for reestablishing contact with younger respondents who
were associated with gangs or other street groups. Because gangs are a
source of connection to social networks and neighborhoods (Papachristos
et al. 2013), and because Boston’s streetworkers are assigned to neigh-
borhoods and gangs, streetworkers were well positioned to assist in con-
necting with individuals with gang and neighborhood ties. In some cases,
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streetworkers were able to provide a direct link—through a working phone
number or current address—for a study respondent that had gone missing.
More often, however, streetworkers “knew someone who knew someone,”
and connected the research team to a third party (say an ex-girlfriend,
neighborhood acquaintance, or a former youth worker) that could arrange
contact with a missing respondent. When subjects dropped out, commu-
nity contacts also offered explanations for nonresponse. For example, we
learned that one subject had developed extreme paranoia about being “set
up” following a shooting in his area in between survey waves and was reluc-
tant to meet or talk with all but a small group of trusted friends. Mistrustful
and occupied with the challenges of survival, participation in the study was
not something he could arrange.
Consistent with the nonignorable risk of nonresponse, contact insecu-
rity was often linked to insecurity in daily life. In these cases, different
strategies for study retention were useful at different points throughout
follow-up. Omar, a Puerto Rican man in his mid-forties, changed his phone
number 17 times over the course of the study. Omar had been a regular
heroin user for much of his life. At 16 years old, he suffered brain damage
after a car accident and reported it had been difficult to function without
drugs since that time. His physical and mental health problems compro-
mised his ability to maintain a steady phone number and to remember
dates of medical appointments and study interviews. Still, Omar was eager
to participate and on days when he was clear-headed and had a working
cell phone, he would sometimes call to check in.
For the first three months after incarceration, Omar resided at several
addresses and was sometimes homeless on the streets. He soon rekindled
a relationship with a former girlfriend, Jessie, who was just released from
19
prison herself. Jessie had been a heavy drug user but was in better health
and assisted Omar with attending appointments, including interviews. She
stayed with him on the streets and moved with Omar into a friend’s apart-
ment four months after his release. When Omar’s cell phone was out of
service, we would often call Jessie, and she would hand her phone to him
so that we could check in.
Omar was sentenced to probation upon release but never reported to
his probation officer, he told us, due to his drug use. Just before his six-
month interview, he received a warrant for not reporting. Though Omar
mentioned his trouble with probation during interviews and phone calls,
we received further information from our contacts at the Department of
Correction. Omar’s warrant was dropped on the condition that he com-
plete a residential drug treatment program. However, when we called the
program where he was assigned, a staff member reported he was no longer
there. We had trouble reaching Omar to schedule the 12-month interview,
perhaps because his legal status was compromised and he was no longer
living with Jessie.
When Omar and Jessie were both out of contact over the course of
the year, we would call Omar’s sister Lena, an older woman in her late
fifties. Lena was 16 years old when the family moved from Puerto Rico to
Boston and was more comfortable communicating with Spanish-speaking
members of the research staff. For nearly 15 years, she had maintained a
public housing unit in Boston’s inner city. Lena was the most stable person
in Omar’s life, and he used her residence as his mailing address. Lena
would get updated contact information from him every so often when he
stopped by her place for meals. After we learned that Omar had left his
treatment program, we contacted Lena who gave us his new cell phone
20
number. Two days later, we conducted Omar’s 12-month interview. Though
the interview took place two and a half months late, it provided valuable
information about Omar’s housing insecurity, drug use, and probation late
in the year after incarceration.
Between the 6- and 12-month interviews, we completed five phone
check-ins with Omar, failed to reach him on 18 call attempts, spoke to
his sister or girlfriend five times, and received information on his legal and
residential status from local criminal justice agencies. His case points to
the necessity of a range of redundant strategies to retain vulnerable study
participants and the high risk of nonresponse for people who are struggling
with housing insecurity, drug relapse, mental illness, and criminal involve-
ment.
Efforts at sample retention are summarized in Table 5. At each wave of
the survey, the distribution of retention effort is given for subjects who are
interviewed on time, interviewed late (at the 75th percentile of the days-
to-interview distribution or later), and who missed an interview. Success-
ful contacts include the average number of successfully completed phone
calls, text, or email exchanges. Respondents who completed late or who
missed interviews received a much higher number of unsuccessful contact
efforts. By the final six months of the survey, late respondents and non-
respondents were receiving two to three times more unsuccessful contact
efforts than successful. The proxies of these hard-to-observe respondents
also received many more calls than the proxies of respondents who were in-
terviewed on time. Finally, justice system queries, although relatively few
in number, were almost entirely focused on the late and missing respon-
dents. In sum, the late and missing respondents received disproportionate
retention effort. Late respondents received twice as many phone call con-
21
Table 5. Average level of retention effort between survey waves for on-time inter-views, late interviews, and missed interviews.
JusticeInterview Successful Failed Calls to Letters SystemStatus Contacts Contacts Proxies Sent Query N
Baseline to One WeekOn time completion 1.48 .63 .68 .03 .00 90Late completion 2.00 1.30 1.11 .19 .04 27Missed 1.00 1.40 .60 .40 .60 5
One Week to Two MonthsOn time completion 3.31 .47 .15 .00 .00 85Late completion 2.65 1.38 .27 .15 .04 28Missed 2.50 7.50 1.83 .83 .33 9
Two Months to Six MonthsOn time completion 3.55 1.28 .17 .00 .04 83Late completion 2.80 1.63 .27 .10 .27 30Missed .75 6.25 1.75 1.50 1.00 9
Six Months to Twelve MonthOn time completion 3.77 3.10 .45 .05 .15 86Late completion 2.92 7.24 2.04 .76 .80 25Missed 1.80 8.60 1.20 .40 .60 11
Total (N) 1,331 890 250 53 58 122
22
tacts than those who were interviewed on time, and the most intensive
retention efforts—through secondary contacts, letters, and justice system
queries—were focused on the nonrespondents.
3.4 A Model of Reluctance and Nonresponse
We can link respondent characteristics to nonresponse across the whole
sample with a multinomial logit regression that takes late and missing in-
terviews as response categories. Completely observed covariate character-
istics can be taken from the baseline interview and from linked administra-
tive data on arrests and incarceration. Such a model allows us to test two
hypotheses. First, including lagged dummy variables for late and missed in-
terviews indicate respondents with an enduring propensity to nonresponse.
Lagged measures also provide estimates of the relationship between late-
ness and nonresponse indicating whether late respondents are at high risk
of nonresponse. Second, we can also assess the association of lateness and
nonresponse to measures of extreme disadvantage that are closely related
to contact insecurity. These markers of social insecurity include histories of
mental illness, addiction, and marginal housing, all measured at baseline.
Contact insecurity is also closely related to time-varying measures of new
charges and re-incarceration. In addition to these measures, the analysis
also controls for age, sex, and race and ethnicity. Finally, to study the risk of
nonresponse for those who have no correctional supervision after prison re-
lease, a dummy variable is included for those on probation or parole during
follow-up.
More formally, for respondent i in wave t , we can write the probability
of being late or missing, p j ( j = L, M) compared to being interviewed on
23
Table 6. Multinomial logit regression results in an analysis of late and missedinterviews, compared to on-time interviews, 3 panels of the Boston Reentry Study.
Model 1 Model 2Late Missing Late Missing
Intercept −.356 −2.179** −.675 −2.667**(.66) (2.80) (1.17) (3.21)
Lag late interview .474 1.213* .495 1.270*(1.35) (2.52) (1.37) (2.49)
Lag missed interview 1.880** 3.470** 1.858** 3.647**(3.30) (5.95) (3.30) (6.40)
Age −.048** −.031 −.047** −.025(2.94) (1.50) (2.76) (1.12)
Female −.056 −1.642 −.122 −1.673*(.16) (1.78) (.32) (2.05)
Addiction .420 1.067* .415 .919*(1.29) (2.53) (1.20) (1.96)
Mental illness .773* .0554 .850* .0172(2.51) (.13) (2.54) (.04)
Prior unstable housing −.863* −.818 −.823* −.926(2.38) (1.59) (2.09) (1.60)
No supervision .253 .326 .239 .529(.85) (.72) (.75) (1.14)
New charge .971* −.144(2.50) (.17)
New Incarceration 1.122 2.581*(1.91) (2.38)
Log likelihood -250.246 -237.502Respondent-waves (N) 366 366∗p < .05 ∗∗p < .01
Note: Numbers in parentheses are z statistics. Late respondents are those in the topquartile of the days-to-interview distribution. Standard errors have been adjustedfor clustering. One survey wave is omitted to allow lagged measures of interviewstatus.
24
time, pO,
log
(p j i t
pOi t
)=α1 j li t−1 +α2 j mi t−1 +x ′
iβ1 j + z ′i tβ2 j ,
where dummy variables indicating lagged interview status are included for
respondents who were late (li t−1 = 1) or missing (mi t−1 = 1) in the prior
wave, x i is a vector of time-invariant covariates, and z i t is a vector of time-
varying covariates. (With lagged predictors, analysis is confined to the last
three waves of the survey at t = 2 months, 6 months, and 12 months.)
Note that the multinomial logit model yields two sets of coefficients, j =L, M , one showing the odds of late respondents relative to those who were
on time, and another showing the odds of missing respondents relative to
those who were on time.
Multinomial logit results are reported in Table 6. We fit one model that
includes lagged interview status and baseline characteristics, and another
model that adds the effects of new charges and incarceration (Table 6).
Across both models, respondents who were late or missing in a given wave
were highly likely to be missing at the following wave. This suggests that
the propensity to nonresponse is in part an enduring trait that is observ-
able from wave to wave. Difficulty in scheduling an interview, resulting
in lateness, is also associated with the risk of nonresponse. The under-
lying risk of nonresponse is related to the baseline traits of a history of
drug addiction, mental illness, and a history of unstable housing. Unex-
pectedly, living in unstable housing prior to incarceration is asociated with
a relatively low risk of nonresponse, when other covariates are controlled.
Unusually, the BRS sample also includes a relatively large number of peo-
ple who have completed sentences and are not supervised by probation or
parole. Coefficients for no supervision are relatively small and insignificant
in both models indicating that respondents who have “maxed out” (com-
25
pleted their maximum sentence) face no higher risk of nonresponse than
the rest of the sample. This result underlines the utility of the sample re-
tention strategies that do not directly involve assistance from community
corrections agencies. Estimates from the final model show that the risk of
nonresponse—either being late for an interview or missing—are also asso-
ciated with new charges and reincarceration. The odds of being late for an
interview are more than doubled by a new arrest. Respondents who return
to prison or jail are also at very high risk of a noninterview. Although the
relative risk of a noninterview is very high, overall nonresponse rates in
the BRS were very low. Still, the positive association of new charges and
incarceration with the risk of nonresponse suggests that, in a sample with
less retention effort and a lower response rate, survey nonresponse may be
strongly nonignorable.
4 CONSEQUENCES OF RELUCTANCE AND NONRESPONSE
To study the effect of survey nonresponse on sample statistics, we can con-
struct a measure of the risk of nonresponse and examine the sensitivity of
sample quantities to different hypothetical levels of missing data.
An index for the risk of nonresponse can be constructed from data on
late interviews and actual missed interviews. Late interviews are completed
with additional retention effort, so treating late interview subjects as poten-
tial nonrespondents yields a sample that would have been observed with
less retention effort. We construct a summary index of respondent’s risk of
nonresponse using information on the days late for a scheduled interview
and nonresponse. Because the days late varies across waves, we transform
the measures to percentiles, Pi t within each wave and assign nonrespon-
26
dents to the highest percentile. A simple average across the four waves of
the survey yields a measure of the risk of nonresponse, P̄i , for each respon-
dent. High values of P̄i indicate respondents who were consistently very
late or who missed follow-up interviews. Low scores on P̄i indicate respon-
dents who completed all interviews on time and required relatively little
retention effort. Following the multinomial logit results on lagged effects,
the risk of nonresponse, P̄i , is treated as a stable trait. Still, nonresponse
risk also has a time-varying component. For example, respondents who re-
lapse to addiction at some point in the follow-up period may be more likely
to miss an interview compared to respondents with histories of addiction
who do not resume drug use. Sensitivity of sample statistics to the risk of
nonresponse is thus likely to be under-estimated by P̄i .
Figure 2 reports the means of key variables for respondents grouped in
the lower, middle and upper terciles of the risk of nonresponse, P̄i . Re-
spondents who are at low risk of nonresponse are in the bottom tercile of
the distribution of P̄i . Medium risk respondents are in the middle tercile
and high-risk respondents are in the top tercile. All variables except post-
incarceration employment are completely observed, either recorded at the
baseline interview or from criminal justice administrative records. Respon-
dents at high or medium risk of nonresponse reported high levels of drug
addiction, high school dropout, arrest, and incarceration compared to those
at low risk of nonresponse.
Mean differences in key variables across levels of the risk of nonre-
sponse may be associated with nonignorable nonresponse that drives sam-
ple selection bias in regression. Often in longitudinal studies with hard-
to-reach populations, regression analysis focuses on the effects of baseline
characteristics on outcomes at follow-up. We pool together the four follow-
27
Low
Addiction
Mental illness
Two parents at 14
HS dropout
Unstable housing
Employed
Probation/parole
Employed
Arrested
Incarcerated
Before Incarceration
After Incarceration
0 .20 .40 .60 .80
Proportion
Medium
0 .20 .40 .60 .80
Proportion
High
0 .20 .40 .60 .80
Proportion
Figure 2. Means of key pre-incarceration and post-incarceration variables by low,medium, and high risk of nonresponse, Boston Reentry Study.
28
up waves from the BRS and fit linear probability models to the pooled
data using as dependent variables measures of post-incarceration unstable
housing, drug use, and re-incarceration. Regression analysis focuses on the
coefficients for a history of drug addiction, unstable housing prior to arrest,
and probation and parole supervision after release. In addition, regressions
control for the wave of the survey, age, sex, and race and ethnicity.
To study the sensitivity of regression coefficients to different levels of
nonresponse, we conduct a simulation experiment analyzing subsets of the
data where observations are included in the analysis conditional on the
nonresponse risk, P̄i . As the average level of percentiles from four follow-
up surveys, the nonresponse risk, P̄i , varies from 10 to 97 with a mean of
50. We then define a nonresponse threshold, T , that is used to drop all
observations from respondent i for P̄i > T . With the reduced data set, we
estimate new regression coefficients, βT . These coefficients can be inter-
preted as the estimates that would have been calculated with a response
rate at a level of retention effort at threshold T . Allowing the retention ef-
fort to vary from T = 97,96, . . . ,50 we can examine how coefficients change
as nonresponse increases. With T varying over this range, the simulated
nonresponse rate varies from 0 to 45 percent, approximately the range of
nonresponse reported in recent longitudinal prisoner reentry studies. With
nonignorable nonresponse and the corresponding sample selection bias,
we expect coefficients to get larger in absolute value as nonresponse de-
clines. Statistical precision will also increase with larger sample sizes, so
confidence intervals will also shrink as nonresponse declines.
Figure 3 reports results from the simulation experiment. Results for
each dependent variable—housing instability, drug use, and re-incarceration—
are shown down the columns. The coefficients—for pre-arrest addiction,
29
pre-arrest unstable housing, and probation or parole status—are shown
across the rows. Hypothetical nonresponse rates are reported on the hori-
zontal axis and coefficients and confidence intervals are shown on the ver-
tical axis. In the model of housing instability, the effect of pre-arrest unsta-
ble housing and probation/parole behave consistently with classical sample
selection bias in which effects are significantly attenuated with high rates
of nonresponse. Neither effect would be detectable with a 55 percent re-
sponse rate, but both effects become large and significant as the response
rate approaches 100 percent. For post-incarceration drug use, the coeffi-
cient for pre-arrest addiction also becomes larger with the rising response
rate. The probation/parole coefficient gets slightly smaller, but the confi-
dence interval shrinks to statistical significance as sample size gets larger.
In the models for reincarceration, the coefficients for addiction, unstable
housing and probation/parole also get larger as sample selectivity declines
and sample size increases. These results indicate how high rates of non-
response in hard to reach populations contribute to sample selection bias,
driving null effects in the analysis of social disadvantage and vulnerability.
5 DISCUSSION
This paper explores study retention and the consequences of survey non-
response in a highly marginal population. Surveying a sample of released
state prisoners returning to neighborhoods in Boston, we describe a one-
year follow-up study involving a group of men and women with histories of
drug addiction, mental illness, and housing insecurity. The Boston Reentry
Study maintained a high response rate, over 90 percent, that provides an
opportunity to explore strategies for study retention in hard-to-reach pop-
30
Pre−Arrest Addiction
0.6 0.7 0.8 0.9 1.0
0.10
0.15
0.20
0.25
0.30
0.35
0.40
Response Rate
Housing Instability
0.6 0.7 0.8 0.9 1.0
0.00
0.05
0.10
0.15
0.20
Response Rate
Drug Use
0.6 0.7 0.8 0.9 1.0
−0.
050.
000.
05
Response Rate
Re−Incarceration
Pre−Arrest Unstable Housing
0.6 0.7 0.8 0.9 1.0
0.0
0.1
0.2
0.3
Response Rate
0.6 0.7 0.8 0.9 1.0
−0.
15−
0.10
−0.
050.
000.
05
Response Rate
0.6 0.7 0.8 0.9 1.0
−0.
10−
0.05
0.00
Response Rate
Probation or Parole
0.6 0.7 0.8 0.9 1.0
−0.
100.
000.
050.
100.
15
Response Rate
0.6 0.7 0.8 0.9 1.0
−0.
15−
0.10
−0.
050.
00
Response Rate
0.6 0.7 0.8 0.9 1.0
−0.
050.
000.
05
Response Rate
Figure 3. Coefficients for pre-arrest addiction, pre-arrest unstable housing, andprobation or parole status in panel regressions on post-incarceration housing in-stability, drug use, and re-incarceration. Coefficients vary with the response ratesorting sample respondents from low to high risk of nonresponse. (Dashed linesindicate 95 percent confidence intervals. A zero coefficient is marked by the solidhorizontal line.)
31
ulations as well as examine the effects of survey nonresponse that has been
common in prior research.
Three main conclusions can be drawn from the analysis of study reten-
tion in the BRS. First, formerly-incarcerated men and women show a very
high level of contact insecurity. Most of the BRS respondents experienced
significant residential instability, were weakly attached to traditional house-
holds, changed phones frequently, were periodically out of phone contact,
and in some cases returned to incarceration. These respondents would be
overlooked in conventional household surveys and we would expect very
high rates of attrition without special measures for study retention. High
rates of contact insecurity help explain the high rates of nonresponse re-
ported in prior studies of prisoner reentry.
Second, the challenges to study retention in hard-to-reach populations
can be successfully addressed through research design. Successful reten-
tion depends on a variety of redundant strategies for minimizing attrition
in a highly unstable sample facing extreme contact insecurity. Key strate-
gies in the Boston Reentry Study included significant interview incentives,
a nonjudgmental approach to interviews along with frequent phone check-
ins that helped build rapport, lists of proxy contacts, and in the last re-
sort, justice system and community streetworker queries. These measures
provided strong incentives for participation and helped quickly find those
whose contact information was lost.
Third, contact insecurity and the risk of survey nonresponse were closely
linked to the social risks and vulnerabilities of sociological interest. Thus
respondents at high risk of nonresponse had histories of drug addiction
and mental illness, and were also more likely to be arrested and incar-
cerated after prison release. Because the risk of a noninterview is closely
32
linked to the extreme social disadvantages of substantive interest, nonre-
sponse in such a socially marginal population is strongly nonignorable. In
the Boston Reentry Study we found that regression estimates were highly
sensitive to survey nonresponse in analyses of housing insecurity, drug use,
and re-incarceration. Regression estimates were greatly attenuated at hy-
pothetically high rates of nonresponse, around 35 to 45 percent.
Earlier studies of nonresponse in hard-to-reach populations report that
significant resources are required to collect data from the most elusive re-
spondents (Farrington et al. 1990; Teitler et al. 2003). Researchers have
suggested that the benefits in data quality that result from a higher reten-
tion rate may not be worth the cost of tracking down those who are most
difficult to contact (Teitler et al. 2003).
Our findings point to three additional considerations when evaluating
the benefits of high study retention. First, while retaining the most elusive
respondents does require significant effort, developing a culture within the
research project that promotes rapport and connectedness with study sub-
jects can improve retention at little extra financial cost. Second, the effort
to sustain 100 percent retention likely improves the quality of interviews
that are completed. Where interviews are conducted in a climate of trust
with an interviewer that a respondent has come to know through numer-
ous interactions, survey responses are likely to be more forthcoming and
complete, particularly in sensitive areas. Third, as our field period pro-
gressed, 100 percent study retention became as much a humanistic as a
methodological objective. A single missing observation out of nearly 600
interviews would barely increase bias or standard errors, but an opportu-
nity would be missed to register the voice and experience of a respondent
who has rarely been heard in science or policy. In very poor or socially
33
marginal research sites, building trust and connection with respondents
yields the benefits of accurate measurement and a high response rate, but
also gives voice to those who are largely invisible.
More generally, attrition in panel studies and other forms of nonre-
sponse represent a fundamental methodological challenge to the study of
extreme poverty and other hardship. Research in this area often features
large-scale data collections with household surveys or administrative data
bases (e.g., see the reviews of Brooks-Gunn and Duncan 1997 and Have-
man et al. 2015). With these data, the problems of under-enumeration and
survey nonresponse are well-documented (Groves and Couper 1998). Spe-
cialized data collections focused on those who are missed by a household
sampling frame or at risk of attrition in a panel study can usefully sup-
plement the large-scale data collection. Counting those who are the most
difficult to count holds the promise of observing the deepest disadvantage
and the full extent of its social contours. In these very marginal social
spaces—where nonresponse is strongly nonignorable—strategies for study
retention are critical for reducing bias and accurately observing extreme
material hardship and social insecurity.
34
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